Individual provider Active NPI

Leslie Joan Vandover, R.N., FNP-C

  • Registered Nurse
  • Fontana, CA
National Provider Identifier
1598127755
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
553516 Issued in CA
Practice address
16127 Foothill Blvd
Fontana, CA 92335
Phone
(626) 378-2509
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95002272 CA
Registered Nurse 163W00000X 553516 CA Primary

Addresses

Primary practice location

16127 Foothill Blvd
Fontana, CA 92335

Mailing address

701 E Foothill Blvd
Apu School of Nursing
Azusa, CA 91702-2606
Phone (626) 815-5378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
553516CAMDRegistered Nurse
NP95002272CAMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1598127755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E FOOTHILL BLVD",
            "address_2": "APU SCHOOL OF NURSING",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022606",
            "telephone_number": "626-815-5378",
            "fax_number": "626-815-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16127 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "626-378-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDOVER",
        "first_name": "LESLIE",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "R.N., FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95002272",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "553516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.